Comparison of the Number of Bacterial Colonies Before and After Using Hand Sanitizer From Acacia Nilotica Leaf Extract

Background: Using hand sanitizers was an act of necessity during the Covid-19 pandemic. With this action, it is expected to control the number of bacterial colonies on the palms of the hands. One of the herbal ingredients that can inhibit the growth of germs is Acacia nilotica L-leaf extract so that it can be used as an active ingredient in hand sanitizer. Objective: To determine the number of bacterial colonies before and after using a hand sanitizer with the active ingredient of acacia leaf extract. Materials and Methods: The study used random sampling analysis before and after treatment. Acacia nilotica leaf ethanol extract formula 10%, 20% and 30%. Each concentration was used by 11 men and 11 women as a hand sanitizer with movements according to WHO standards and left for 30 seconds. Check the count of germs on hands before and after using hand sanitizer. Results: The highest decrease in the number of bacterial colonies was found at a concentration of 30% reaching 64.84% in men and 89.61% in women. There were differences in the ability to decrease the number of bacterial colonies from each concentration (P 0.003 < 0.005). Conclusion: Acacia nilotica L leaf extract can be a candidate for active hand sanitizer ingredients.

Application of Toddler Biscuits which Meets Omega 3 and Omega 6 Standards

Biscuits are additional food for toddlers. Biscuits on the market are biscuits that contain trans fatty acids which are less safe for toddlers to consume. Because it is necessary to create biscuits that are safe for toddlers to consume by adding fish oil in their manufacture, then biscuits can be given to children who are malnourished. Applications for biscuits are 50 grams/day for children whose body weight is less than WHO standards, 40 grams/day for children whose body weight is less than WHO standards, and 30 grams/day for children whose body weight is according to WHO standards. Every week (for 8 weeks) a toddler’s body weight is measured, as well as observing motor, cognitive, language and social emotional development. Based on the initial weight of the child without the addition of biscuits, it is known 33.3% have a normal weight gain and 66.3% have a late weight gain. After biscuit administration, it was found that weight gain was in a better direction, with 87.4% having a normal weight according to their age and the remaining 13.6% still having late weight development, children whose initial weight was very less than WHO standards. Weight gain is greatly influenced by the number of biscuits given to toddlers. So anatomically, growth will occur in a child’s body structure that increases proportionately with age. A lack of initial body weight will hinder the rate of weight gain of the child, can directly inhibit the growth of the child, as a result the proportion of the body structure of the child is not following their age which in the end it will have implications for other developments. Growth that occurs will affect the development of gross motor and fine motor skills, cognitive, language, and social-emotional toddlers.

Assessing the quality of care for children attending health facilities: a systematic review of assessment tools

IntroductionAssessing quality of healthcare is integral in determining progress towards equitable health outcomes worldwide. Using the WHO ‘Standards for improving quality of care for children and young adolescents in health facilities’ as a reference standard, we aimed to evaluate existing tools that assess quality of care for children.MethodsWe undertook a systematic literature review of publications/reports between 2008 and 2020 that reported use of quality of care assessment tools for children (<15 years) in health facilities. Identified tools were reviewed against the 40 quality statements and 510 quality measures from the WHO Standards to determine the extent each tool was consistent with the WHO Standards. The protocol was registered in PROSPERO ID: CRD42020175652.ResultsNine assessment tools met inclusion criteria. Two hospital care tools developed by WHO-Europe and WHO-South-East Asia Offices had the most consistency with the WHO Standards, assessing 291 (57·1%) and 208 (40·8%) of the 510 quality measures, respectively. Remaining tools included between 33 (6·5%) and 206 (40·4%) of the 510 quality measures. The WHO-Europe tool was the only tool to assess all 40 quality statements. The most common quality measures absent were related to experience of care, particularly provision of educational, emotional and psychosocial support to children and families, and fulfilment of children’s rights during care.ConclusionQuality of care assessment tools for children in health facilities are missing some key elements highlighted by the WHO Standards. The WHO Standards are, however, extensive and applying all the quality measures in every setting may not be feasible. A consensus of key indicators to monitor the WHO Standards is required. Existing tools could be modified to include priority indicators to strengthen progress reporting towards delivering quality health services for children. In doing so, a balance between comprehensiveness and practical utility is needed.PROSPERO registration numberCRD42020175652.

Measuring facility readiness to provide childbirth care: a comparison of indices using data from a health facility survey in Ethiopia

BackgroundActionable information about the readiness of health facilities is needed to inform quality improvement efforts in maternity care, but there is no consensus on the best approach to measure readiness. Many countries use the WHO’s Service Availability and Readiness Assessment (SARA) or the Demographic and Health Survey (DHS) Programme’s Service Provision Assessment to measure facility readiness. This study compares measures of childbirth service readiness based on SARA and DHS guidance to an index based on WHO’s quality of maternal and newborn care standards.MethodsWe used cross-sectional data from Performance Monitoring for Action Ethiopia’s 2019 survey of 406 health facilities providing childbirth services. We calculated childbirth service readiness scores using items based on SARA, DHS and WHO standards. For each, we used three aggregation methods for generating indices: simple addition, domain-weighted addition and principal components analysis. We compared central tendency, spread and item variation between the readiness indices; concordance between health facility scores and rankings; and correlations between readiness scores and delivery volume.ResultsIndices showed moderate agreement with one another, and all had a small but significant positive correlation with monthly delivery volume. Ties were more frequent for indices with fewer items. More than two-thirds of items in the relatively shorter SARA and DHS indices were widely (>90%) available in hospitals, and half of the SARA items were widely (>90%) available in health centres/clinics. Items based on the WHO standards showed greater variation and captured unique aspects of readiness (eg, quality improvement processes, actionable information systems) not included in either the SARA or DHS indices.ConclusionSARA and DHS indices rely on a small set of widely available items to assess facility readiness to provide childbirth care. Expanded selection of items based on the WHO standards can better differentiate between levels of service readiness.

Hydro-geochemistry and health risks assessment of some groundwaters suitability for drinking within the urban region of Unguja Island, Zanzibar

Majority of the Island inhabitants depends on groundwaters for drinking therefore the hydrogeochemistry and health risks assessment with respect to WHO standards is absolutely essential for protection policy formulation. The groundwater samples for analyses were collected from selected four wells within each (Chukwani-Mbweni, DarajaMbovu - Amani and Mwanakwerekwe) suburb during the moderate rainy season of January2020.The selection was based on their strategic positions taking into consideration relevant geographical and environmental factors commensurable with this study. Various contaminants and physiochemical parameters were determined using Atomic Absorption spectroscopy, GC/MS, Temp/pH/TDS/EC meter and DR/3900 spectrophotometer. Chemical Oxygen Demand values were also determined. Microbial contamination was determined using the MPN technique. The results shows that these groundwaters are slightly alkaline, microbially contaminated, have high C.O.D. values ranging from 188.5 to 305.7 mg/L indicating the existence of some organic based endocrine disruptive elements, and disparities in water quality parameters with respect to the recommended WHO standards thus ascertaining possible public health risks. The research recommends the need for continuous monitoring, assessment and treatment of these raw groundwaters for drinking at the point of collection rather relying on the old conventional boiling method or drinkingas it is.

Comparison of the proportion of overweight and obesity using 2015 Indian Academy of Pediatrics and WHO body mass index charts among 5-18 years old children attending a tertiary care centre in South Kerala

Background: Childhood obesity is associated with impaired health during childhood and it is a risk factor for later adult diseases if left untreated. There is a rising trend of over nutrition in developing countries including India. Hence the present study has been envisaged to estimate the proportion of overweight/obesity among 5-18 years old children of a tertiary care centre in South Kerala. The objective of this study was to compare the proportion of overweight and obesity using 2015 Indian Academy of Paediatrics and WHO BMI charts among 5-18 years old children attending a tertiary care centre in South Kerala.Methods: After getting ethical committee clearance this cross-sectional study was conducted among children between 5 and 18 years of age in the department of paediatrics of a tertiary care centre in South Kerala, during the period between August 2018-October 2020. The BMI was plotted and analysed with appropriate software.Results: Among the 250 children the proportion of obesity and overweight was 88 (35.2%) by IAP standards, 63 (25.2%) by WHO standards. The highest proportion of obesity was found in children aged between 7-8.5 years 17 (38.6%). There was a statistically significant association between age and BMI status (p value<0.001).Conclusions: IAP BMI standards are more suitable for Indian children to identify the proportion of overweight and obesity than WHO standards. Also, this study alerts us to concentrate more on the age group between 7-10.5 years for early prevention of childhood obesity and overweight.

The status of emergency obstetric and newborn care in post-conflict eastern DRC: a facility-level cross-sectional study

Background Pregnancy-related mortality remains persistently higher in post-conflict areas. Part of the blame lies with continued disruption to vital care provision, especially emergency obstetric and newborn care (EmONC). In such settings, assessment of EmONC is essential for data-driven interventions needed to reduce preventable maternal and neonatal mortality. In the North Kivu Province (NKP), the epicentre of armed conflict in eastern Democratic Republic of the Congo (DRC) between 2006 and 2013, the post-conflict status of EmONC is unknown. We assessed the availability, use, and quality of EmONC in 3 health zones (HZs) of the NKP to contribute to informed policy and programming in improving maternal and newborn health (MNH) in the region. Method A cross-sectional survey of all 42 public facilities designated to provide EmONC in 3 purposively selected HZs in the NKP (Goma, Karisimbi, and Rutshuru) was conducted in 2017. Interviews, reviews of maternity ward records, and observations were used to assess the accessibility, use, and quality of EmONC against WHO standards. Results Only three referral facilities (two faith-based facilities in Goma and the MSF-supported referral hospital of Rutshuru) met the criteria for comprehensive EmONC. None of the health centres qualified as basic EmONC, nor could they offer EmONC services 24 h, 7 days a week (24/7). The number of functioning EmONC per 500,000 population was 1.5. Assisted vaginal delivery was the least performed signal function, followed by parenteral administration of anticonvulsants, mainly due to policy restrictions and lack of demand. The 3 HZs fell short of WHO standards for the use and quality of EmONC. The met need for EmONC was very low and the direct obstetric case fatality rate exceeded the maximum acceptable level. However, the proportion the proportion of births by caesarean section in EmONC facilities was within acceptable range in the HZs of Goma and Rutshuru. Overall, the intrapartum and very early neonatal death rate was 1.5%. Conclusion This study provides grounds for the development of coordinated and evidence-based programming, involving local and external stakeholders, as part of the post-conflict effort to address maternal and neonatal morbidity and mortality in the NKP. Particular attention to basic EmONC is required, focusing on strengthening human resources, equipment, supply chains, and referral capacity, on the one hand, and on tackling residual insecurity that might hinder 24/7 staff availability, on the other.

Analysis of the Physicochemical Parameters and Microbiological Quality of Water Samples Obtained from Mbiaso River and Enang Stream in Ikot Ekpene Metropolis

The physicochemical, microbiological and heavy metal studies of water samples obtained from Mbiaso River and Enang Stream were investigated. Water samples were collected from two locations with two sampling points from each location along the course of the water body based on their use by the community and analysed using standard procedures. The results obtained were compared with WHO standards for drinking and recreational water. Aside titratable acidity, titratable alkalinity and BOD, all other physicochemical parameters were within the permissible standards. All the heavy metals concentrations were above the permissible limits except for Lead (Pb) that ranged between 0.01mg/l to 0.05 mg/l for all the sampling points. All the water samples were found to harbor coliforms organisms in numbers greater than the required WHO standards for water except for Enang river that lacked the presence of Vibrio spp. The total viable counts for all the water samples were generally high exceeding the standard limit of 1.0 x 102 cfu/ml for water. The total heterotrophic bacteria count, total coliform count, faecal coliform count and total fungal count ranged between 1.9x104 - 52x104 cfu/ml, 2.3x104 -38 x104 cfu/ml, 1.7x104 - 30x104 cfu/ml and 2.5x104 - 5.3x104 cfu/ml respectively. The total salmonella-shigella counts and total staphylococcus counts were in the range of 0.2 x102-0.4 x102 cfu/ml and 0.3 x102 -0.6 x104 cfu/ml respectively. From the study, it is suggested that some regulations measures be put in place to control pollution of the water while the water be properly treated before use for domestic, potable or recreational purposes.

Indonesia COVID-19 Task Force Statement Framing in September – November 2020

This study aims at examining how Indonesia COVID-19 Task Force, as the government's right hand man, uses Framing Theory in the press statement contents, to convince the public that the handling of COVID-19 in Indonesia has been good enough. The analysis was carried out on the content of the COVID-19 Task Force press statement from September to November 2020 when there were spikes in COVID-19 cases during that period. This research uses the social construction paradigm, to find out what kind of news framing is being carried out by the COVID-19 Handling Task Force related to news about the COVID-19 case through Murray Edelman's framing analysis. By using Murray Edelman's framing analysis, this study tries to reveal the framing of the press release of the COVID-19 Handling Task Force to form a direct public understanding that the handling of COVID-19 in Indonesia is well. The results of the analysis showed that the positive COVID-19 handling task force used a categorization framing with the titles of press statements, the majority of which only mentioned about the recovery of COVID-19 patients, such as: The Number of COVID-19 Patients Continues to Increase to 429,807 People; COVID-19 Testing Results Show 86% Confirmed Negative; Number of Testing Week Third of November Approaches WHO Standards.

WHO-Leitlinie: Körperliche Aktivität, Bewegungsmangel und Schlaf für Kinder unter 5 Jahren

Zusammenfassung Hintergrund Die frühe Kindheit ist eine Zeit in der sich Verhaltensweisen formen und Familien für Änderungen des Lebensstils offen sind. Ziel Diese Leitlinie gibt Empfehlungen wie viele Stunden Kleinkinder unter 5 Jahren innerhalb von 24 Stunden körperlich aktiv sein oder schlafen sollen, um ihre Gesundheit und ihr Wohlbefinden zu fördern. Methode Die Leitlinie wurde von der Weltgesundheitsorganisation (WHO) gemäß WHO-Standards umgesetzt. Die Zusammenfassung wurde von Mitarbeiter/innen des WHO Collaborating Centres an der Donau-Universität Krems (Österreich) auf Deutsch übersetzt. Ergebnisse und Schlussfolgerung Jeder Tag besteht aus Schlafenszeit, niedrig-aktiven Phasen (Sitzen, Stehen, Liegen) und leichter, mäßiger oder kräftiger körperliche Aktivität. Kleine Kinder sollten die Möglichkeit haben, sich an entwicklungsgerechter, sicherer und spielbasierter körperlicher Aktivität zu beteiligen und nicht länger als eine Stunde am Stück von Bewegung abgehalten werden.